ECU Summer Band Camp Online Application

Application Instructions: Bold items are required fields. Be sure to read the important notes at the bottom of the page prior to clicking the submit button. Please fill out a separate application for each participant. Questions? Call 252-328-6152 or e-mail carterr@ecu.edu .

First Name:

Last Name:

Age:

Gender:

Male

Female

Parent's Name:

Daytime Phone Number:

please include area code

Evening Phone Number:

please include area code

E-mail Address:

Street Address:

City:

State:

Use two letter abbreviation (example: NC for North Carolina)

Zip Code:

Instrument:

Years Experience:

Year in School:

as of Fall 2008 (Example: 8th grade)

Band Director's Name:

Your School's Name:

PAYMENT OPTIONS:

Choose an Option:

Option A: Full Payment

Option B: Partial Payment

Option C: (day camp payment)

Option A: Camp Fee $395, Private lesson ($15, optional) = Total to send now $410.00
Option B: Camp Deposit $100, Remainder camp fee $295, Private lesson ($15, optional) = Total to send now $100.00*
Option C: Day Camp Payment/non-resident fee $295.00 = Total to send now $295.00

All-District Band Chair?:

Yes

All NC students who won chairs in All-District Band will receive an automatic $50.00 scholarship. If you quality, choose "Yes".

What District?:

If you choose "Yes" to the previous question, indicate your district here (example: Eastern, Southeastern, Central, Northwestern, Western, South Central, etc.).

Honors Band Eligible?:

Yes

All NC students who are Honors Band eligible will receive an automatic $100 scholarship. Do you quality? If so, click "Yes".

What District?:

If you chose "Yes" to the previous question (Honors Band eligible), indicate your district here.

Important Note (please read BEFORE submitting your application):

We will make deductions in the Band Camp office based on any indication of scholarship eligibility mentioned in your online application. Your receipt will reflect the scholarship and any balance due.

When you submit this application, you will receive an immediate confirmation message which will include where payment should be sent. A follow-up e-mail will also be sent once your application has been reviewed.

Please click "SUBMIT" only once. It may take as long as 30 seconds for your application to be submitted.